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The importance of a urine sample in persons intoxicated with flunitrazepam: legal issues in a forensic psychiatric case study of a serial murderer
Högskolan Väst, Institutionen för individ och samhälle, Avd för psykologi och organisationsstudier.ORCID-id: 0000-0002-8562-5610
(Criminal Investigation Department at the South Stockholm Violence Unit, Stockholm)
Örebro University.
Department of Forensic Psychiatry, Gothenburg.
Vise andre og tillknytning
2003 (engelsk)Inngår i: Forensic Science International, ISSN 0379-0738, E-ISSN 1872-6283, Vol. 137, nr 1, s. 21-27Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The sedative–hypnotic benzodiazepine flunitrazepam (FZ) is abused worldwide. The purpose of our study was to investigate violence and anterograde amnesia following intoxication with FZ, and how this was legally evaluated in forensic psychiatric investigations with the objective of drawing some conclusions about the importance of urine sample in a case of a suspected intoxication with FZ. The case was a 23-year-old male university student who, intoxicated with FZ (and possibly with other substances such as diazepam, amphetamines or cannabis), first stabbed an acquaintance and, 2 years later, two friends to death. The police investigation files, including video-typed interviews, the forensic psychiatric files, and also results from the forensic autopsy of the victims, were compared with the information obtained from the case. Only partial recovery from anterograde amnesia was shown during a period of several months. Some important new information is contained in this case report: a forensic analysis of blood sample instead of a urine sample, might lead to confusion during police investigation and forensic psychiatric assessment (FPA) of an FZ abuser, and in consequence wrong legal decisions. FZ, alone or combined with other substances, induces severe violence and is followed by anterograde amnesia. All cases of bizarre, unexpected aggression followed by anterograde amnesia should be assessed for abuse of FZ. A urine sample is needed in case of suspected FZ intoxication. The police need to be more aware of these issues, and they must recognise that they play a crucial role in an assessment procedure. Declaring FZ an illegal drug is strongly recommended.

sted, utgiver, år, opplag, sider
Göttingen: Elsevier, 2003. Vol. 137, nr 1, s. 21-27
Emneord [en]
Flunitrazepam; Violence; Anterograde amnesia; Forensic analyses; Forensic psychiatry; Urine sample
HSV kategori
Forskningsprogram
SAMHÄLLSVETENSKAP, Psykologi
Identifikatorer
URN: urn:nbn:se:hv:diva-4973DOI: 10.1016/S0379-0738(03)00273-1OAI: oai:DiVA.org:hv-4973DiVA, id: diva2:581258
Prosjekter
Dyslexi bland rättspsykiatriskt undersökta män: Psykologiska, sociala och biologiska indikatorerTilgjengelig fra: 2012-12-30 Laget: 2012-12-30 Sist oppdatert: 2017-12-06bibliografisk kontrollert

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